STUDENT CONTACT INFO 10% Complete 10% First & Middle Names (required) Last Name (required) Street Address 1 (required) Street Address 2 City (required) State (required) Zip Code (required) Email (required) Phone (required) Next GENERAL INFORMATION 20% Complete 20% Date of Birth (required) Age SS Number (required) Nationality (ex. South African) Marital Status (required) SingleMarriedDivorcedSeparatedWidowedRemarried Date of Marriage Date of Divorce Date of Separation Date Widowed Date Remarried Spouse's Name Spouse's Occupation Number of Children (if any) Children's Age (separate by a comma) Home language Other languages you speak or read Have you previously applied to a similar institution? (required) NoYes Please give details of the Institute For which sphere of ministry are you seeking to equip yourself? (required) PastorateOther MinistryWorkplace MinistryOther Specify ministry here Which MAS campus do you wish to attend? (required) ---North CampusMidTown CampusAugusta CampusBaltimore CampusInTown CampusAuburn CampusOnline Campus (Certificate in Christian Studies) For which course of study are you applying? (required) Bachelor of Theology (B.Th.)Master of Divinity (must show proof of completion of an accredited bachelor's degree)Diploma for Biblical Counseling (MAS)Certificate in Christian Studies BackNext EDUCATION 30% Complete 30% Please list your most recent school first and work your way back. High School Graduates: You must submit certified (original) copies of most certificates and subjects completed. College/University Graduates: You must submit certifies (original) copies of all final results (i.e. transcripts showing grades), and a copy of the Institute's catalog or website. (a) School Name (required) Choose TypeHigh SchoolCollege/University Dates attended Highest Standard or Grade Passed You must submit certified (original) copies of most recent certificates and subjects completed. Qualifications attained You must submit certified (original) copies of all final results (i.e. transcripts showing grades), and a copy of the Institute's catalog or website. School Address (b) School Name Choose TypeHigh SchoolCollege/University Dates attended Highest Standard or Grade Passed You must submit certified (original) copies of most recent certificates and subjects completed. Qualifications attained You must submit certified (original) copies of all final results (i.e. transcripts showing grades), and a copy of the Institute's catalog or website. School Address (c) School Name Choose TypeHigh SchoolCollege/University Dates attended Highest Standard or Grade Passed You must submit certified (original) copies of most recent certificates and subjects completed. Qualifications attained You must submit certified (original) copies of all final results (i.e. transcripts showing grades), and a copy of the Institute's catalog or website. School Address (d) School Name Choose TypeHigh SchoolCollege/University Dates attended Highest Standard or Grade Passed You must submit certified (original) copies of most recent certificates and subjects completed. Qualifications attained You must submit certified (original) copies of all final results (i.e. transcripts showing grades), and a copy of the Institute's catalog or website. School Address Other qualifications received (i.e. Trade or otherwise) BackNext CHRISTIAN EXPERIENCE 40% Complete 40% Are you currently a member of a church? (required) YesNo Please explain Church Name Period of membership Pastor's Name Current church involvement Give a brief account of your conversion to Christ (required) Give a brief account of your experience in Christian work (i.e. preaching, teaching, evangelism, youth, etc.) (required) Give a brief account of your sense of call to ministry (required) Is your church in support of your application to seminary? (required) YesNo Please explain BackNext OCCUPATIONAL EXPERIENCE Please give details of your current and previous employment, starting with the most recent. 50% Complete 50% (a) Job Title Dates of employment (ex. 8/1/2011-10/1/2012) Employer's name Employer's address Job Description (b) Job Title Dates of employment (ex. 8/1/2011-10/1/2012) Employer's name Employer's address Job Description (c) Job Title Dates of employment (ex. 8/1/2011-10/1/2012) Employer's name Employer's address Job Description (d) Job Title Dates of employment (ex. 8/1/2011-10/1/2012) Employer's name Employer's address Job Description BackNext REFERENCES Please list 3 references - one must be your pastor. Each reference must fill out the "Referee's Confidential Report" (click on previous link to download and print form). We do not accept family members as references. It is often customary to ask one's references permission to name them. 60% Complete 60% Minister/Pastor (required) Email (required) Telephone (required) Fax Address (include zip code) (required) Name (required) Email (required) Telephone (required) Fax Address (include zip code) (required) Name (required) Email (required) Telephone (required) Fax Address (include zip code) (required) BackNext FINANCIAL 70% Complete 70% Do you have any financial commitments and responsibilities? (i.e. dependents, debts, accounts, etc.) YesNo Please give details and set out how you intend to meet your commitments. Do you have sufficient money to cover your course fees? YesNo Please give details How do you anticipate meeting the cost of your fees? Personal ResourcesChurch Support*Family/Friends/Grants* *Please furnish us with letters of commitment from each of your sponsors. Do you understand that you will be responsible for ensuring that full payment of your fees is made to MAS at the beginning of each semester? (required) YesNo BackNext MEDICAL 80% Complete 80% Are there any medical conditions we should be aware of? Any further remarks regarding physical, mental, or psychological health? BackNext COMMENTS 90% Complete 90% Any other comments that may help the college in considering your application? BackNext CONDITIONS OF ACCEPTANCE 100% Complete 100% Please select a recent photograph of yourself. By checking this box I hereby certify that, to the best of my knowledge, the foregoing information is correct. Should my application for training be successful, I would be willing to come under the discipline of MAS for the duration of my training. (required) I agree to these terms Today's Date (required)
